How to implement adverse events as a quality indicator in gastrointestinal endoscopy

Quality improvement through the registration of endoscopy‐related adverse events (AEs) has been recognized by major international endoscopy societies as an important quality indicator. The theory behind this is easier to approve than its implementation in daily practice. The results of many valuable...

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Bibliographic Details
Published in:Digestive endoscopy 2024-01, Vol.36 (1), p.89-96
Main Author: Moreels, Tom G.
Format: Article
Language:English
Subjects:
adverse event
endoscopy
Endoscopy, Gastrointestinal - adverse effects
Humans
incident
Prospective Studies
Quality Improvement
Quality Indicators, Health Care
registration
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Summary:Quality improvement through the registration of endoscopy‐related adverse events (AEs) has been recognized by major international endoscopy societies as an important quality indicator. The theory behind this is easier to approve than its implementation in daily practice. The results of many valuable attempts have been published in the literature, mainly highlighting the diverse hurdles trying to capture events related to endoscopy and the sedation used for endoscopic procedures. The current review discusses the difficulties encountered attempting to register AEs and incidents related to endoscopic procedures. Government‐driven and financed health‐care databases with automated coupling of specific data seem the only efficient way to implement endoscopy‐related AEs and outcomes on a prospective and complete basis. This will not only allow continuous confidential feedback to endoscopists in relation to the pooled national benchmark data, but also follow‐up in time through data‐driven credentialing aiming to progressively optimize these benchmark data.
ISSN:0915-5635
1443-1661
DOI:10.1111/den.14641